Question 1

TCAs are effective in treatment of depression because they block

Accepted Answer

A)  Reuptake of serotonin and dopamine 
B)  Reuptake of serotonin and norepinephrine 
C)  Action of monoamine oxidase enzyme 
D)  Histamine receptors 
A)  Reuptake of serotonin and dopamine 
B)  Reuptake of serotonin and norepinephrine 
C)  Action of monoamine oxidase enzyme 
D)  Histamine receptors B

Question 2

Which class of antidepressants has the most anticholinergic side effects?

Accepted Answer

A)  Monoamine oxidase inhibitors (MAOIs) 
B)  Selective serotonin reuptake inhibitors (SSRIs) 
C)  Tricyclic antidepressants (TCAs) 
D)  Serotonin norepinephrine reuptake inhibitors (SNRIs) 
A)  Monoamine oxidase inhibitors (MAOIs) 
B)  Selective serotonin reuptake inhibitors (SSRIs) 
C)  Tricyclic antidepressants (TCAs) 
D)  Serotonin norepinephrine reuptake inhibitors (SNRIs) C

Question 3

The older typical antipsychotic medications would be expected to be most effective for which of the following target symptoms?

Accepted Answer

A)  Social isolation 
B)  Apathy 
C)  Hallucinations 
D)  Lack of motivation 
A)  Social isolation 
B)  Apathy 
C)  Hallucinations 
D)  Lack of motivation C

Question 4

Among the following statements, which best describes the action of older typical antipsychotic medications such as Haldol?

Accepted Answer

A)  They block dopamine receptors in all four dopamine pathways. 
B)  They decrease available amounts of serotonin and norepinephrine. 
C)  They decrease the metabolism of dopamine in the synaptic cleft. 
D)  They selectively block reuptake of dopamine. 
A)  They block dopamine receptors in all four dopamine pathways. 
B)  They decrease available amounts of serotonin and norepinephrine. 
C)  They decrease the metabolism of dopamine in the synaptic cleft. 
D)  They selectively block reuptake of dopamine.

Question 5

Antidepressants are used with caution in which of the following disorders?

Accepted Answer

A)  Major depression with atypical features 
B)  Adjustment disorder with depression 
C)  Bipolar disorders 
D)  Dysthymia 
A)  Major depression with atypical features 
B)  Adjustment disorder with depression 
C)  Bipolar disorders 
D)  Dysthymia

Question 6

Neuroleptic malignant syndrome is a serious complication of the use of antipsychotic medications. One of the first indicators of this complication is

Accepted Answer

A)  Increased motor activity 
B)  Rapid temperature elevation to 103°F 
C)  Increase of aggressive behavior 
D)  Nose twitching and abnormal tongue movements 
A)  Increased motor activity 
B)  Rapid temperature elevation to 103°F 
C)  Increase of aggressive behavior 
D)  Nose twitching and abnormal tongue movements

Question 7

A patient has been taking haloperidol (Haldol) IM, an antipsychotic drug, for years. You notice that he is grinding his teeth and smacking his lips frequently. You think that he may have

Accepted Answer

A)  Tardive dyskinesia 
B)  Gustatory hallucinations 
C)  Spasms of the jaw 
D)  Parkinsonian symptoms 
A)  Tardive dyskinesia 
B)  Gustatory hallucinations 
C)  Spasms of the jaw 
D)  Parkinsonian symptoms

Question 8

Because of the severe problems caused by chronic extrapyramidal side effects (EPSs), patients receiving long-term use of antipsychotics must be carefully monitored for the development of EPS symptoms. One of the most commonly used screeners is

Accepted Answer

A)  Beck's inventory scale 
B)  Ham-D scale 
C)  Zung scale 
D)  AIMS scale 
A)  Beck's inventory scale 
B)  Ham-D scale 
C)  Zung scale 
D)  AIMS scale

Question 9

A patient has been treated for the past several years with fluphenazine (Prolixin). You notice that he is drooling and has a tremor and slight pill-rolling movement of the fingers. These are the extrapyramidal symptoms known as

Accepted Answer

A)  Anticholinergic effects 
B)  Pseudoparkinsonism 
C)  Tardive dyskinesia 
D)  Dystonic reaction 
A)  Anticholinergic effects 
B)  Pseudoparkinsonism 
C)  Tardive dyskinesia 
D)  Dystonic reaction

Question 10

A patient who is receiving the typical antipsychotic medication haloperidol is stepping back and forth from foot to foot and says that he feels very restless. This could be a manifestation of

Accepted Answer

A)  Neuroleptic malignant syndrome 
B)  Akathisia 
C)  Increasing psychosis 
D)  An anticholinergic response 
A)  Neuroleptic malignant syndrome 
B)  Akathisia 
C)  Increasing psychosis 
D)  An anticholinergic response

Question 11

Which of the following reactions is indicative of a dystonic reaction?

Accepted Answer

A)  Oculogyric crisis and spasms of the back muscles 
B)  Tongue thrusting and lip-smacking movements 
C)  Pill-rolling hand movement and mask-like facial expression 
D)  Urinary retention and orthostatic hypotension 
A)  Oculogyric crisis and spasms of the back muscles 
B)  Tongue thrusting and lip-smacking movements 
C)  Pill-rolling hand movement and mask-like facial expression 
D)  Urinary retention and orthostatic hypotension

Question 12

A patient with bipolar disorder who has been on lithium for 3 months has a blood lithium level of 0.3 mEq/L when tested. You anticipate

Accepted Answer

A)  Improvement of manic symptoms 
B)  No improvement of manic symptoms 
C)  Improvement of depressive symptoms 
D)  Symptoms of moderate lithium toxicity 
A)  Improvement of manic symptoms 
B)  No improvement of manic symptoms 
C)  Improvement of depressive symptoms 
D)  Symptoms of moderate lithium toxicity

Question 13

The tricyclic antidepressant class of medications can be characterized by all of the following properties except

Accepted Answer

A)  Long half-life 
B)  Inexpensive cost 
C)  Safety in overdose 
D)  High rate of side effects 
A)  Long half-life 
B)  Inexpensive cost 
C)  Safety in overdose 
D)  High rate of side effects

Question 14

In treating a patient with depression for whom you want to increase norepinephrine, which of the following antidepressants would you choose because it specifically increases levels of norepinephrine?

Accepted Answer

A)  Reboxetine (Vestra) 
B)  Fluoxetine (Prozac) 
C)  Phenelzine (Nardil) 
D)  Venlafaxine (Effexor) 
A)  Reboxetine (Vestra) 
B)  Fluoxetine (Prozac) 
C)  Phenelzine (Nardil) 
D)  Venlafaxine (Effexor)

TCAs are effective in treatment of depression because they block

Which class of antidepressants has the most anticholinergic side effects?

The older typical antipsychotic medications would be expected to be most effective for which of the following target symptoms?

Among the following statements, which best describes the action of older typical antipsychotic medications such as Haldol?

Antidepressants are used with caution in which of the following disorders?

Neuroleptic malignant syndrome is a serious complication of the use of antipsychotic medications. One of the first indicators of this complication is

A patient has been taking haloperidol (Haldol) IM, an antipsychotic drug, for years. You notice that he is grinding his teeth and smacking his lips frequently. You think that he may have

Because of the severe problems caused by chronic extrapyramidal side effects (EPSs), patients receiving long-term use of antipsychotics must be carefully monitored for the development of EPS symptoms. One of the most commonly used screeners is

A patient has been treated for the past several years with fluphenazine (Prolixin). You notice that he is drooling and has a tremor and slight pill-rolling movement of the fingers. These are the extrapyramidal symptoms known as

A patient who is receiving the typical antipsychotic medication haloperidol is stepping back and forth from foot to foot and says that he feels very restless. This could be a manifestation of

Which of the following reactions is indicative of a dystonic reaction?

A patient with bipolar disorder who has been on lithium for 3 months has a blood lithium level of 0.3 mEq/L when tested. You anticipate

The tricyclic antidepressant class of medications can be characterized by all of the following properties except

In treating a patient with depression for whom you want to increase norepinephrine, which of the following antidepressants would you choose because it specifically increases levels of norepinephrine?

Theoretical Framework of Practice

Neurobiological Theory of Psychiatric Disorders: Brain Functioning, Brain Development and Prenatal and Perinatal Factors Disrupting Brain Development

Postnatal Influences on Development of Psychopathology

Communicating, Interviewing and Assessing

Case Formulation and Diagnosis, Differential Diagnoses and Developing a Biopsychosocial Plan of Care

Psychotherapies

Psychosocial Interventions

Response to Stressors: Bridging Normal Responses and Psychiatric Disorders

Phobias, Generalized Anxiety Disorder, Social Anxiety Disorder and Panic Disorder

Acute Stress Disorder and Posttraumatic Stress Disorder

Obsessive-Compulsive Disorder and Obsessive-Compulsive Spectrum Disorders

Depressive Disorders

Bipolar Disorder

Schizophrenia and Schizoaffective Disorder

Delirium and Dementia

Dual Diagnosis

Personality Disorders

Prevention of Psychiatric Disorders

Filters

Exam 6: Psychopharmacotherapy

TCAs are effective in treatment of depression because they block

Which class of antidepressants has the most anticholinergic side effects?

The older typical antipsychotic medications would be expected to be most effective for which of the following target symptoms?

Among the following statements, which best describes the action of older typical antipsychotic medications such as Haldol?

Antidepressants are used with caution in which of the following disorders?

Neuroleptic malignant syndrome is a serious complication of the use of antipsychotic medications. One of the first indicators of this complication is

A patient has been taking haloperidol (Haldol) IM, an antipsychotic drug, for years. You notice that he is grinding his teeth and smacking his lips frequently. You think that he may have

Because of the severe problems caused by chronic extrapyramidal side effects (EPSs), patients receiving long-term use of antipsychotics must be carefully monitored for the development of EPS symptoms. One of the most commonly used screeners is

A patient has been treated for the past several years with fluphenazine (Prolixin). You notice that he is drooling and has a tremor and slight pill-rolling movement of the fingers. These are the extrapyramidal symptoms known as

A patient who is receiving the typical antipsychotic medication haloperidol is stepping back and forth from foot to foot and says that he feels very restless. This could be a manifestation of

Which of the following reactions is indicative of a dystonic reaction?

A patient with bipolar disorder who has been on lithium for 3 months has a blood lithium level of 0.3 mEq/L when tested. You anticipate

The tricyclic antidepressant class of medications can be characterized by all of the following properties except

In treating a patient with depression for whom you want to increase norepinephrine, which of the following antidepressants would you choose because it specifically increases levels of norepinephrine?

Theoretical Framework of Practice

Neurobiological Theory of Psychiatric Disorders: Brain Functioning, Brain Development and Prenatal and Perinatal Factors Disrupting Brain Development

Postnatal Influences on Development of Psychopathology

Communicating, Interviewing and Assessing

Case Formulation and Diagnosis, Differential Diagnoses and Developing a Biopsychosocial Plan of Care

Psychotherapies

Psychosocial Interventions

Response to Stressors: Bridging Normal Responses and Psychiatric Disorders

Phobias, Generalized Anxiety Disorder, Social Anxiety Disorder and Panic Disorder

Acute Stress Disorder and Posttraumatic Stress Disorder

Obsessive-Compulsive Disorder and Obsessive-Compulsive Spectrum Disorders

Depressive Disorders

Bipolar Disorder

Schizophrenia and Schizoaffective Disorder

Delirium and Dementia

Dual Diagnosis

Personality Disorders

Prevention of Psychiatric Disorders

Filters